Healthcare Provider Details

I. General information

NPI: 1851486112
Provider Name (Legal Business Name): KAREN ANN MEIRING OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 HIGHLAND AVE
KNOXVILLE TN
37916-1112
US

IV. Provider business mailing address

150 BALLARD RD
HEISKELL TN
37754-3127
US

V. Phone/Fax

Practice location:
  • Phone: 865-523-2473
  • Fax: 865-523-9773
Mailing address:
  • Phone: 865-494-7830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License NumberOT0000000932
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: